JACOB ANDREW CLARK (M.D.) – Anesthesiology Physician, NPI 1871735167
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,323 ANESTHESIOLOGY in MA
Provider Addresses for JACOB ANDREW CLARK (M.D.)
101 Page St
New Bedford, MA 027403464
Phone: (508) 973-5425
Type: Location
Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States
LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 018050001
Phone: (781) 744-8514
Fax: (781) 744-2273
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABIOMED ($127).
Total Amount
$148
General + Research + Ownership
Payments
4
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $127 |
| Edwards Lifesciences Corporation | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130801000201 | I | Anesthesiology | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 41 | 41 | $0 |
| 00560 | Anesthesia for procedure on heart and large blood vessels | 30 | 30 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 26 | 24 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 24 | 24 | $0 |
| 93312 | Ultrasound of heart with probe in esophagus, with report | 21 | 21 | $0 |
Insurance plans in this area (ZIP 02740)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Pain Management, Anesthesiology | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Clinical Social Worker | MA | |
| Hospitalist, Internal Medicine | MA | |
| Physician Assistant | MA | |
| H O S P I T A L I S T | MA | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Clinical Social Worker | MA | |
| A N E S T H E S I O L O G Y | MA |
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